Beacon NewsFlashes – April 29, 2013

Stem Cell Remobilization With Mozobil Is Possible – Results of a small retrospective study conducted at City of Hope National Medical Center show that remobilization of stem cells with Mozobil (plerixafor) is possible in multiple myeloma patients. Specifically, the researchers found that most multiple myeloma patients (83 percent) who previously failed to collect enough stem cells with Mozobil to proceed to transplantation collected enough stem cells after a second round of mobilization with Mozobil. For more information, please refer to the study in the journal Transfusion (abstract).
Another Study Finds Link Between Cereblon Levels And Revlimid Efficacy – Results of a retrospective analysis conducted in Austria and Italy show that levels of the protein cereblon in patients’ myeloma cells may impact the efficacy of Revlimid (lenalidomide). The researchers found that newly diagnosed multiple myeloma patients with high cereblon levels responded better to treatment with Revlimid and dexamethasone (Decadron) than those with low cereblon levels. The results of the current study support results of previous studies that showed that cereblon is necessary for the immunomodulatory drugs – particularly Revlimid and Pomalyst (pomalidomide) – to be effective against multiple myeloma (see related Beacon news). For more information, please see the study in the British Journal Of Haematology (abstract).
Stem Cell Transplantation May Be More Effective In Amyloidosis Than Multiple Myeloma – Results of a recent retrospective analysis conducted at the Mayo Clinic indicate that patients with immunoglobulin light-chain amyloidosis may benefit more from stem cell transplantation than patients with multiple myeloma. Specifically, the researchers found that more light chain amyloidosis patients achieved a complete response, compared to multiple myeloma patients (40 percent versus 29 percent, respectively). Overall survival was also superior in patients with amyloidosis (9.4 years versus 5 years, respectively). The researchers found that even among those who achieved a complete response, survival was longer for those with amyloidosis. They therefore hypothesize that the biology of the two diseases is very different, despite the similarity in the two types of plasma cell disorders. For more information, please see the study in the journal Bone Marrow Transplantation (abstract).
Related Articles:
- Nelfinavir Shows Only Limited Success In Overcoming Revlimid Resistance In Multiple Myeloma Patients
- Darzalex May Affect Different Uninvolved Immunoglobulins Differently
- Selective Digestive Decontamination May Reduce Risk of Infection In Myeloma Patients Undergoing Autologous Stem Cell Transplants
- Stem Cell Transplantation May Be Underutilized In Multiple Myeloma Patients In Their 80s
- Sustained Complete Response To Initial Treatment Associated With Substantial Survival Benefit In Multiple Myeloma
Interesting to read that stem cell transplantation may be more effective in Amyloidosis than multiple myeloma. What about those patients who have both? I achieved CR from CTD alone 2 years ago. My stem cells are on ice, but for the time being, I remain in complete response.
Hi Alice,
Thanks for your comment and question.
The research study looking at outcomes after transplantation in amyloidosis and multiple myeloma patients only compared outcomes for those two separate patient groups. There is no third analysis in the study focused on patients with both amyloidosis and multiple myeloma.
We checked with the lead author of the study, Dr. Angela Dispenzieri of the Mayo Clinic, and she said the majority of the patients in the study who had both amyloidosis and myeloma were included in the amyloidosis group of patients.
Overall across all the patients in the study, about 10 percent had both amyloidosis and multiple myeloma, according to a rough estimate by Dr. Dispenzieri.
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